Educational needs of foundation doctors caring for dying patients

Journal of the Royal College of Physicians of Edinburgh

Volumn 40, Issue 1, 2010, Pages 13-18

  Linklater, G T ^a,b  

^a NHS GRAMPIAN   (United Kingdom)

^b NHS EDUCATION FOR SCOTLAND   (United Kingdom)

Author keywords

Competencies; Death; Junior doctors; Support

Indexed keywords

ARTICLE; BEREAVEMENT; COMPETENCE; DEATH; DYING; EMOTION; EMOTIONAL STRESS; HUMAN; INTENSIVE CARE; INTERPERSONAL COMMUNICATION; MAJOR CLINICAL STUDY; MEDICAL EDUCATION; PRACTICE GUIDELINE; QUESTIONNAIRE; SUPPORT GROUP;

ADULT; AGED; ATTITUDE OF HEALTH PERSONNEL; ATTITUDE TO DEATH; CLINICAL COMPETENCE; FOUNDATIONS; HUMANS; MALE; MEDICAL STAFF, HOSPITAL; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS; QUESTIONNAIRES; SCOTLAND; SOCIAL SUPPORT;

EID: 77949532625     PISSN: 14782715     EISSN: None     Source Type: Journal    
DOI: 10.4997/JRCPE.2010.104     Document Type: Article

References (38)

1. Scottish Government. Living and dying well: a national action plan for palliative and end of life care in Scotland. Edinburgh: Scottish Government; 2008.
2. Department of Health. End of life care strategy - promoting high quality of care for all adults at the end of life. London: Department of Health; 2008.
3. NHS Grampian. Estimating unmet need for palliative care service provision in Grampian: palliative care needs assessment. Aberdeen: NHS Grampian; 2002.
4. Edmonds P, Karlsen S, Addington-Hall J. Palliative care needs of hospital inpatients. Palliat Med 2000; 14:227-8.
5. Firth-Cozens J. Emotional distress in junior house officers. BMJ 1987; 295:533-6. doi:10.1136/bmj.295.6597.533
6. Firth-Cozens J, Morrison LA. Sources of stress and ways of coping in junior house officers. Stress Med 1989; 5:121-6. doi:10.1002/smi. 2460050210
7. Calman KC, Donaldson M. The pre-registration house officer year: a critical incident study. Med Educ 1991; 25:51-9. doi:10.1111/j.1365-2923. 1991.tb00026.x
8. MacLeod RD. On reflection: doctors learning to care for people who are dying. Soc Sci Med 2001; 52:1719-27. doi:10.1016/S0277-9536(00)00289-6
9. Keizer B. My father's death. In: Bamforth I, editor. The body in the library: a literary anthology of modern medicine. London: Verso; 2003. p. 388.
10. Oliver D. Training and knowledge of palliative care of junior doctors. Palliat Med 1998; 12:297-9. doi:10.1191/026921698675024481
11. Sullivan AM, Lakoma MD, Block SD. The status of medical education in end-of-life care. A national report. J Gen Intern Med 2003; 18:685-95. doi:10.1046/j.1525-1497.2003.21215.x
12. Paice E, Rutter H, Wetherell M et al. Stressful incidents, stress and coping strategies in the pre-registration house officer year. Med Educ 2002; 36:56-65. doi:10.1046/j.1365-2923.2002.01101.x
13. O'Neill PA, Jones A, Willis SC et al. Does a new undergraduate curriculum based on Tomorrow's Doctors prepare house officers for their first post? A qualitative study of the views of pre-registration house officers using critical incidents. Med Educ 2003; 37:1100-8. doi:10.1046/j.1365-2923. 2003.01714.x
14. Jackson VA, Sullivan AM, Gadmer NM et al. 'It was haunting...': Physicians' descriptions of emotionally powerful patient deaths. Acad Med 2005; 80:648-56. doi:10.1097/00001888-200507000-00007
15. Rhodes-Kropf J, Carmody SS, Seltzer D et al. 'This is just too awful; I can't believe I just experienced that...': Medical students' reactions to their 'most memorable' patient death. Acad Med 2005; 80:634-40. doi:10.1097/00001888-200507000-00005
16. Orlander JD, Fincke G, Hermanns D et al. Medical residents' first clearly remembered experiences of giving bad news. J Gen Intern Med 2002; 17:825-31. doi:10.1046/j.1525-1497.2002.10915.x
17. Sack WH, Fritz G, Krener PG et al. Death and the pediatric house officer revisited. Pediatrics 1984; 73:676-81.
18. Paice E, Moss F, Heard S et al. The relationship between preregistration house officers and their consultants. Med Educ 2002; 36:26-34. doi:10.1046/j.1365-2923.2002.01100.x
19. Fischer SM, Gozansky WS, Kutner JS et al. Palliative care education: an intervention to improve medical residents' knowledge and attitudes. J Palliat Med 2003; 6:391-9. doi:10.1089/109662103322144709
20. Moores TS, Castle KL, Shaw KL et al. 'Memorable patient deaths': reactions of hospital doctors and their need for support. Med Educ 2007; 41:942-6. doi:10.1111/j.1365-2923.2007.02836.x
21. General Medical Council. The new doctor: recommendations on general clinical training. London: General Medical Council; 2009. Available from: http://www.gmc-uk.org/New-Doctor09-FINAL.pdf-snapshot.pdf
22. Academy of Medical Royal Colleges, Modernising Medical Careers. Curriculum for the foundation years in postgraduate education and training. London: Academy of Medical Royal Colleges, Modernising Medical Careers; 2005.
23. Academy of Medical Royal Colleges. Foundation Programme Curriculum. Academy of Medical Royal Colleges; 2007.
24. McAleer S. Designing a questionnaire. Educ Gen Pract 1994; 5:38-43.
25. Boynton P, Greenhalgh P. Selecting, designing and developing your questionnaire. BMJ 2004; 328:1312-5. doi:10.1136/bmj.328.7451.1312
26. Heath I. Matters of life and death. Key writings. Oxford: Radcliffe Publishing; 2008. p.19-24.
27. Scurry MT, Bruhn JG, Bunce H. The house officer and the dying patient. Gen Hosp Psych 1979; 1:301-5. doi:10.1016/0163-8343(79)90004-5
28. Sherry KL, Johnson MJ. An evaluation of hospice-based teaching in the west of Scotland. Palliat Med 1998; 12:467-8. doi:10.1177/ 026921639801200613
29. Serwint JR. One method of coping: resident debriefing after the death of a patient. J Pediatr 2004; 145:229-34. doi:10.1016/j.jpeds.2004.04.055
30. Baverstock A, Finlay F. Specialist registrars' emotional responses to a patient's death. Arch Dis Child 2006; 91:774-6. doi:10.1136/adc.2005. 076760
31. Redinbaugh EM, Sullivan AM, Block SD et al. Doctors' emotional reactions to recent death of a patient: cross sectional study of hospital doctors. BMJ 2003; 327:185-91. doi:10.1136/bmj.327.7408.185
32. Davis BE, Nelson DB, Sahler OJ et al. Do clerkship experiences affect medical students' attitudes toward chronically ill patients? Acad Med 2001; 76:815-20. doi:10.1097/00001888-200108000-00015
33. MacLeod RD, James CR. Improving the effectiveness of palliative care education. Palliat Med 1997; 11:375-80. doi:10.1177/026921639701100507
34. Bromberg MB, Forshew DA. Comparison of instruments addressing quality of life in patients with ALS and their caregivers. Neurology 2002; 58:320-2.
35. Levack P, Graham J, Kidd J. Listen to the patient: quality of life of patients with recently diagnosed malignant cord compression in relation to their disability. Palliat Med 2004; 18:594-601. doi:10.1191/0269216304pm925oa
36. Waldron D, O'Boyle CA, Kearney M et al. Quality-of-life measurement in advanced cancer: addressing the individual. J Clin Oncol 1999; 17:3603-11.
37. Olthuis G, Dekkers W. Medical education, palliative care and moral attitude: some objectives and future perspectives. Med Educ 2003; 37:928-33. doi:10.1046/j.1365-2923.2003.01635.x
38. Linklater GT. Promoting patient-centredness in undergraduate palliative care education. Med Educ 2008; 42:1126-7. doi:10.1111/j.1365-2923.2008. 03216.x